Various Clinical Presentations of Nystagmus: Case Series and Review of Literature
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11
Abstract
Introduction: Nystagmus is a rhythmic regular oscillation of the eyes. In this case series, we present four cases who presented to the emergency department different clinical complaints and had nystagmus on examination. Methodology: The patients presented to the D.Y. Patil Medical College & Hospital, Navi Mumbai, India with varied clinical presentations and on ophthalmologic examination had nystagmus. The data presented in this article were obtained from the retrospective review of the medical records of the patient. Results: One patient, recently diagnosed with seizure disorder, presented with decreased vision and slurred speech. Horizontal nystagmus with fast component to the left was observed on ophthalmologic examination and serum phenytoin levels were more than 40 g/ml. Final diagnosis of phenytoin diagnosis was made. One hypertensive patient with giddiness and loss of balance presented with blood pressure of 170/100 mm Hg. Vertical nystagmus with positive Romberg sign was noted. Magnetic Resonance Imaging (MRI) revealed an infarct on the right hemi-pons. Another patient with no significant past medical history presented with headache, slurred speech and blurred vision. Nystagmus and impaired cerebellar signs were noted. MRI revealed an infarct in the right middle cerebellar peduncle. Last patient with history of hypertension had ptosis, opthalmoplegia and vertical nystagmus, who had an ischemic stroke of ventromedial portion of bilateral thalami and peri-aqueductal grey matter. Conclusions: Nystagmus can present with various clinical conditions. Eliciting relevant past medical history, understanding present illness in detail and correlating with laboratory and imaging studies is necessary to make a correct and timely diagnosis.
Authors and Affiliations
Dr Jagruti Jain
Keywords
Related Articles
- EP ID EP510591
- DOI -
- Views 75
- Downloads 0
Developement Of Validated UV Spectrophotometric Method For Estimation of Sumatriptan Succinate In Bulk and Pharmaceutical Dosage Forms
The present research work discussed the development of a UV spectrometric method for validation of Sumatriptan Succinate. It is simple, fast, accurate and cost efficient and reproducible spectrophotometric method, develo...
Surgical Site Infections in Laparotomy: A Bacteriological Study
A surgical site infection is defined as infection at surgical site within 30 days of procedure or infection within 1 year in patients with an implant or prosthesis. It may be defined clinically as presence of pain of a s...
Glycemic Profile in Chronic Liver Disease
Liver has a pivotal role in glucose homeostasis and maintaining blood glucose values within strict normal limits. Chronic liver disease results in impaired glucose tolerance and diabetes, resulting in the entity called H...
Effect of Glycemic Control on Radiographic Presntation of Pulmonary Tuberculosis in Type 2 Diabetes Mellitus
Introduction: Tuberculosis (TB) remains to be a major cause of morbidity and mortality throughout the world. The link of Diabetes (DM) and TB is more prominent in developing countries and the higher susceptibility of tub...
Growing epidemic of Human papilloma virus associated malignant and premalignant lesions - A dental surgeon’s perspective
Objectives: To explore unique characteristics of HPV related oral malignant and premalignant lesions and to describe role of dental surgeons in prevention of this viral- induced carcinogenesis. Methods: Extensive literat...